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Question of the Week | How to Increase Participation in DSMES?

Question of the Week Diabetes Education Services

Studies indicate that only 53% of individuals eligible for Diabetes Self-Management Education and Support (DSMES) through their health insurance receive it.

 Which of the following approaches to increase participation in DSMES is based on the ADA Standards of Care?

 

  1. Adjust DSMES charges for Medicare enrollees based on ability to pay.
  2. Increase access to telehealth delivery of care and other digital health solutions.
  3. Provide DSMES in non-hospital workplace settings to increase access for employees.
  4. Incentivize participation through use of giveaways and positive reinforcement.

Want to learn more about this question?

Virtual DiabetesEd Training Conference – Join us Live on April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty

Registration Options

All hours earned count toward your CDCES Accreditation Information

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Assessing for Food Insecurity with Diabetes

Food insecurity affects 16% of adults with diabetes compared with 9% of adults without diabetes.

Based on the ADA standards of care, which is the most accurate statement regarding food insecurity and people with diabetes?

  1. Food insecurity is defined as uncertain availability of nutritionally adequate food at least once a week.
  2. Conduct food insecurity screening and income assessment once every 3-5 years.
  3. Any health care team member can screen for food insecurity using The Hunger Vital Sign.
  4. People with food insecurity are less likely to experience hyperglycemia due to decreased caloric intake.

Click Here to Test your Knowledge 

 


Want to learn more about this question?

Virtual DiabetesEd Training Conference – Join us Live 

April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty


Registration Options


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Best Approach for Religious Fasting?

Ramadan is observed by Muslims worldwide as a month of fasting (sawm), prayer, reflection, and community. The common practice is to fast from dawn to sunset. The pre-dawn meal before the fast is called the suhur, while the meal at sunset that breaks the fast is called iftar. This year, Ramadan starts on Sun, March 10th and ends Tuesday April 9th, 2024. This question of the month addresses supporting individuals with diabetes during periods of religious fasting.

The 2024 Standards of Care reported individuals who fast have an increased risk for hypoglycemia, dehydration, hyperglycemia, and ketoacidosis. 

Which of the following is an accurate health care statement regarding recommendations for religious fasting?

  1. Recommend continuing with usual diet and medication regimens to ensure glucose stability and reduce health risks.
  2. Accommodate a person’s choice for religious fasting.
  3. Advise people with diabetes taking insulin about the need to avoid religious fasting due to risk of hypoglycemia.
  4. Provide education on religious fasting only when evidence indicates risk.

Click Here to Test your Knowledge

 

Question of week contributed by Christine Craig, MS, RD, CDCES, winner of the 2023 Impact on Diabetes Award, is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect Question of Week author for this nutrition and activity focused content.

 


Want to learn more about this question?

It’s not to late to join our 2024 Boot Camp Series

 Ends March 19th, 2024, at 11:30 am PT

Not too late to enroll in Boot Camp and learn from our nutrition expert, Christine Craig, MS, RDN, CDCES

Class Topics & Webinar Dates:

  • recorded – Boot Camp 1: Diabetes | Not Just Hyperglycemia | 1.75 CEs 
  • recorded – Boot Camp 2: Standards of Care & Cardiovascular Goals | 1.8 CEs
  • recorded – Boot Camp 3: Meds for Type 2 | What you need to know | 1.75 CEs 
  • recorded – Boot Camp 4: Insulin Therapy | From Basal/Bolus to Pattern Management | 1.75 CEs
  • recorded – Boot Camp 5: Insulin Intensive & Risk Reduction | Monitoring, Sick Days, Lower Extremities | 1.75 CEs 
  • recorded – Boot Camp 6: Medical Nutrition Therapy | 1.75 CEs 
  • March 12, 2024 – Boot Camp 7: Microvascular Complications & Exercise | Screen, Prevent, Treat | 1.75 CEs
  • March 14, 2024 – Boot Camp 8: Coping & Behavior Change | 1.75 CEs 
  • March 19, 2024 – Boot Camp 9: Test-Taking Coach Session (48 Questions) | No CE 

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM or the CDCES certification Exam.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

Christine Craig, MS, RD, CDCES, winner of the 2023 Impact on Diabetes Award, is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect speaker for this nutrition and activity focused content.


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Best action to address sudden Hyperglycemia due to Cellulitis?

RL is 83, has Latent Autoimmune Diabetes, and takes degludec 17 units every morning along with metformin 500 XR twice daily. RL tells you that their left leg was suddenly swollen and red, so they went to urgent care and were started on a course of antibiotics. In the meantime, their CGM is showing elevated blood sugars in the 200 to 350 range during the day but often less than 100 at night. RL weighs 70kg, with a BMI of 23.4.

Based on this information, what action do you suggest?

  1. Decrease carbohydrate intake by 20-25% until the infection subsides.
  2. Increase the degludec by 20% to get blood glucose levels to target.
  3. Encourage RL to walk after meals to decrease post prandial blood sugar levels.
  4. Suggest initiation of bolus insulin once or twice daily.

Click Here to Test your Knowledge


Want to learn more about this question?

Virtual DiabetesEd Training Conference – Join us Live on April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty

Registration Options


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | What medication changes do you recommend?

RL was newly diagnosed 43 with type 2 diabetes 6 months ago with an initial A1C of 10.1%. They have no cardiovascular disease and their renal function is within normal limits.  At a recent office visit, you notice RL’s A1C has dropped to 7.3,  their BP is 112/78 and the LDL cholesterol is 103mg/dL. RL’s current medication regimen includes, rosuvastatin 10mg, empagliflozin 25mg, metformin 1000 BID, glargine 12 units and aspirin 81mg.  

Based on this information, what changes to RL’s medication plan do you recommend to the provider?

  1. Consider increasing rosuvastatin and stopping ASA therapy.
  2. Consider stopping empagliflozin and starting GLP-1 RA to help with weight loss.
  3. Consider adding an ACE or ARB and increasing basal insulin.
  4. Consider increasing metformin and decreasing basal insulin.

Click Here to Test your Knowledge


Want to learn more about this question?

Virtual DiabetesEd Training Conference – Join us Live on April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty

Registration Options


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | RS Doesn’t Want to Get Weighed

RS arrives at their quarterly diabetes provider appointment and the medical assistant walks them to the scale, in the clinic hallway, to get their weight.  RS politely explains that they feel uncomfortable being weighed but they are happy to share their stated weight. The medical assistant once again encourages RS to get on the scale and reassures RS that they don’t need to look at or know their weight. RS sighs, takes off their shoes and reluctantly gets on the scale to be weighed.

 Which of the following best describes the end result of this situation?

  1. The medical assistant used a person-centered approach to respect the wishes of RS.
  2. RS exhibited non-adherence and reconsidered their request.
  3. According to the transtheoretical model, RS was in preparation stage and needed gentle encouragement.
  4. The clinic staff would benefit from an inservice on providing weight inclusive care.

Click Here to Test your Knowledge


Virtual DiabetesEd Training Conference – Join us Live on April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty
  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty

Registration Options


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Bone Fracture Prevention Based on 2024 ADA Standards

Since people with diabetes are at increased risk of fractures, the 2024 Standards have an increased focus on preventing bone fractures. 

Which of the following is an accurate statement regarding diabetes and bone fractures?

  1. Annual bone scans are recommended starting at age 40 to determine fracture risk category.
  2. Individuals taking insulin or sulfonylureas are at higher risk of bone fractures.
  3. Most people with diabetes benefit from a vitamin D supplement.
  4. Refer individuals starting at age 65 for an assessment of fall risk.

Click Here to Test your Knowledge


Learn more about Bone Fracture Prevention and ADA Standards

Virtual DiabetesEd Training Conference – Join us Live on April 17th – 19th 2024 at 11:30 AM PST

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, and “aha” moments for our Virtual DiabetesEd Training Conference April 17th – 19th, 2024.

Attendees will leave this conference with new tools and a refreshed understanding of the latest advances in person-centered diabetes care.  Our team highlights the ADA Standards of Care, medications, behavior change, technology, medical nutrition therapy, and more!

Our instructors co-teach the content to keep things fresh and lively. 

Friend Discount: 3 or more only $449 per person. Email us at [email protected] with the name and email of each registrant to get the discount!


Program Details

  • Dates: April 17-19th, 2024
  • Registration Fee: $399-$569 (see more about reg. options below)
  • Friend Discount: For 3 or more people, each person saves $50 off their registration. Email us at [email protected] with the name and email of each registrant to get the discount!
  • CEs: 30+ CEs | 18 units for Virtual Conference plus 10+ Bonus CEs. CEs can be applied toward CDCES’s initial application or renewal.
  • Speakers: View Conference Faculty

Registration Options


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Best Intervention to address Elevated LDL?

MK is 67 years old and is concerned about cardiovascular disease risk and diabetes. Their last lab result showed an A1C of 6.8%, HDL of 38 and LDL of 132. MK started reading food labels and is concerned about their total fat intake each day and wants to make diet changes to reduce CVD risk.

According to the 2024 ADA Standards of Care, which evidence-based statement is most accurate when counseling MK about their fat intake?

  1. There is no one optimal percentage of calories from fat for people with diabetes.
  2. Try to limit saturated fat to less to 7% of calories each day.
  3. We suggest including 1 gram per day of Omega-3 supplement for prevention of cardiovascular events.
  4. The best approach is to reduce total fat to less than 30% of total calories per day.

Click Here to Test your Knowledge


Want to learn more about nutrition and the ADA Standards?

Level 3 | DiabetesEd Certification Boot Camp
with Coach Beverly, RN, MPH, CDCES &
Christine Craig, MS, RDN, CDCES

Airs live on February 13th – March 19th, 2024, at 11:30 am PT

Class Topics & Webinar Dates:

  • February 13, 2024 – Boot Camp 1: Diabetes | Not Just Hyperglycemia | 1.75 CEs 
  • February 15, 2024 – Boot Camp 2: Standards of Care & Cardiovascular Goals | 1.8 CEs
  • February 20, 2024 – Boot Camp 3: Meds for Type 2 | What you need to know | 1.75 CEs 
  • February 22, 2024 – Boot Camp 4: Insulin Therapy | From Basal/Bolus to Pattern Management | 1.75 CEs
  • February 27, 2024 – Boot Camp 5: Insulin Intensive & Risk Reduction | Monitoring, Sick Days, Lower Extremities | 1.75 CEs 
  • February 29, 2024 – Boot Camp 6: Medical Nutrition Therapy | 1.75 CEs 
  • March 12, 2024 – Boot Camp 7: Microvascular Complications & Exercise | Screen, Prevent, Treat | 1.75 CEs
  • March 14, 2024 – Boot Camp 8: Coping & Behavior Change | 1.75 CEs 
  • March 19, 2024 – Boot Camp 9: Test-Taking Coach Session (48 Questions) | No CE 

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM or the CDCES certification Exam.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructors: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.  

Christine Craig, MS, RD, CDCES, winner of the 2023 Impact on Diabetes Award, is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect speaker for this nutrition and activity focused content.


Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

Sign up for DiabetesEd Blog Bytes

* indicates required



Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.